| NPI | 1730450040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE E ACKERMAN RN 856-983-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MB06858000) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |